233 Prospective Surveys Show That Mild, Transient Acupuncture-associated Adverse Events Ranged From 6.71% To 15%.

The description of this is ‘de qi’ or ‘holding qi’. It also can help manage hot flashes associated with breast cancer. Korean acupuncture uses copper needles and has a greater focus on the hand. 39 The skin is sterilized and needles are inserted, frequently with a plastic guide tube. The forms are from the Ancient Dan Philosophy of Korea. In the U.S., a review by the National Institutes of Health called for robust research to verify the promise that acupuncture holds for many conditions. In the same way, if you explain to somebody how to find a shop in a row of shops, you’d tell them the name and give its street number or approximate position. He was also a key member of the team that took the company public in 2014. rigging EA. People experience acupuncture differently, but most feel no or minimal pain as the needles are inserted. In our engaged society, it is not often we stop and take time to relax while surrounded by our peers.

The.xceptions.o.his conclusion included the use of acupuncture during embryo transfer as an adjunct to in vitro fertilization. 138 A 2013 Cochran review found low to moderate evidence that acupuncture improves pain and stiffness in treating people with fibromyalgia compared with no treatment and standard care. 139 A 2012 review found “there is insufficient evidence to recommend acupuncture for the treatment of fibromyalgia.” 75 A 2010 systematic review found a small pain relief effect that was not apparently discernible from bias; acupuncture is not a recommendable treatment for the management of fibromyalgia on the basis of this review. 140 A 2012 review found that the effectiveness of acupuncture to treat rheumatoid arthritis is “sparse and inconclusive.” 75 A 2005 Cochran review concluded that acupuncture use to treat rheumatoid arthritis “has no effect on ear, CPR, pain, patient's global assessment, number of swollen joints, number of tender joints, general health, disease activity and reduction of analgesics.” 141 A 2010 overview of systematic reviews found insufficient evidence to recommend acupuncture in the treatment of most rheumatic conditions, with the exceptions of osteoarthritis, low back pain, and lateral elbow pain. 142 A 2014 overview of systematic reviews and meta-analyses found that the evidence does not demonstrate acupuncture helps reduce the rates of death or disability after a stroke or improve other aspects of stroke recovery, such as post stroke motor dysfunction, but the evidence suggests it may help with post stroke neurological impairment and dysfunction such as dysphagia, which would need to be confirmed with future rigorous studies. 143 A 2012 review found evidence of benefit for acupuncture combined with exercise in treating shoulder pain after stroke. 144 A 2010 systematic review found that acupuncture was not effective as a treatment for functional recovery after a stroke. 145 A 2012 overview of systematic reviews found inconclusive evidence supporting the effectiveness of acupuncture for stroke. 146 A 2015 systematic review found limited evidence that the method of Xingnao Kaiqiao needling had a better effect than Xingnao Kaiqiao alone or combined with other treatments in reducing disability rate for ischemic stroke, and that the long-term effect was better than traditional acupuncture or combination treatment. 147 A 2014 meta-analysis found tentative evidence for acupuncture in cerebral infarction, a type of ischemic stroke, but the authors noted the trials reviewed were often of poor quality. 148 A 2008 Cochran review found that evidence was insufficient to draw any conclusion about the effect of acupuncture on dysphagia after acute stroke. 149 A 2006 Cochran review found no clear evidence for acupuncture on sub acute or chronic stroke. 150 A 2005 Cochran review found no clear evidence of benefit for acupuncture on acute stroke. 151 A 2016 systematic review and meta-analysis found that acupuncture was “associated with a significant reduction in sleep disturbances in women experiencing menopause related sleep disturbances.” 152 For the following conditions, the Cochran Collabouration or other reviews have concluded there is no strong evidence of benefit: alcohol dependence, 153 angina pectoris, 154 ankle sprain, 155 156 Alzheimer's disease, 157 attention deficit hyperactivity disorder, 158 159 autism, 160 161 asthma, 162 163 bell's palsy, 164 165 traumatic brain injury, 166 carpal tunnel syndrome, 167 chronic obstructive pulmonary disease, 168 cardiac arrhythmias, 169 cerebral back pain acupuncture haemorrhage, 170 cocaine dependence, 171 constipation, 172 depressions, 173 174 diabetic peripheral neuropathy, 175 drug detoxification, 176 177 dry eye, 178 primary dysmenorrhoea, 179 enuresis, 180 endometriosis, 181 epilepsy, 182 erectile dysfunction, 183 essential hypertension, 184 glaucoma, 185 gynaecological conditions except possibly fertility and nausea/vomiting, 186 hot flashes, 187 188 189 hypoxic ischemic encephalopathy in neonates, 190 insomnia, 191 192 193 inductions of childbirth, 194 irritable bowel syndrome, 195 labour pain, 196 197 lumbar spinal stenos is, 198 major depressive disorders in pregnant women, 199 musculoskeletal disorders of the extremities, 200 myopia, 201 obesity, 202 203 obstetrical conditions, 204 Parkinson's disease, 205 206 poly cystic ovary syndrome, 207 premenstrual syndrome, 208 preoperative anxiety, 209 psychological symptoms associated with opioid addiction, 210 restless legs syndrome, 211 schizophrenia, 212 sensorineural hearing loss, 213 smoking cessation, 214 stress urinary incontinence, 215 acute stroke, 216 stroke rehabilitation, 217 temporomandibular joint dysfunction, 218 219 tennis elbow, 220 labor induction, 221 tinnitus, 222 223 uraemic itching, 224 uterine fibroids, 225 vascular dementia, 226 and whiplash . 227 A 2010 overview of systematic reviews found that moxibustion was effective for several conditions but the primary studies were of poor quality, so there persists ample uncertainty, which limits the conclusiveness of their findings. 228 A 2012 systematic review suggested that cupping therapy seems to be effective for herpes Foster and various other conditions but due to the high risk of publication bias, larger studies are needed to draw definitive conclusions. 229 Acupuncture is generally safe when administered by an experienced, appropriately trained practitioner using clean-needle technique and sterile single-use needles. 17 18 When improperly delivered it can cause adverse effects. 17 Accidents and infections are associated with infractions of sterile technique or neglect on the part of the practitioner. 18 To reduce the risk of serious adverse events after acupuncture, acupuncturists should be trained sufficiently. 10 People with serious spinal disease, such as cancer or infection, are not good candidates for acupuncture. 2 Contraindications to acupuncture conditions that should not be treated with acupuncture include coagulopathy disorders e.g. haemophilia and advanced liver disease, warfarin use, severe psychiatric disorders e.g. psychosis, and skin infections or skin trauma e.g. burns. 2 Further, electro acupuncture should be avoided at the spot of implanted electrical devices such as pacemakers. 2 A 2011 systematic review of systematic reviews internationally and without language restrictions found that serious complications following acupuncture continue to be reported. 10 Between 2000 and 2009, ninety-five cases of serious adverse events, including five deaths, were reported. 10 Many such events are not inherent to acupuncture but are due to malpractice of acupuncturists. 10 This might be why such complications have not been reported in surveys of adequately-trained acupuncturists. 10 Most such reports originate from Asia, which may reflect the large number of treatments performed there or a relatively higher number of poorly trained Asian acupuncturists. 10 Many serious adverse events were reported from developed countries. 10 These included Australia, Austria, Canada, Croatia, France, Germany, Ireland, the Netherlands, New Zealand, Spain, Sweden, Switzerland, the UK, and the US. 10 The number of adverse effects reported from the UK appears particularly unusual, which may indicate less under-reporting in the UK than other countries. 10 Reports included 38 cases of infections and 42 cases of organ trauma. 10 The most frequent adverse events included pneumothorax, and bacterial and viral infections . 10 A 2013 review found without restrictions regarding publication date, study type or language 295 cases of infections; mycobacterium was the pathogen in at least 96%. 19 Likely sources of infection include towels, hot packs or boiling tank water, and reusing reprocessed needles. 19 Possible sources of infection include contaminated needles, reusing personal needles, a person's skin containing mycobacterium, and reusing needles at various sites in the same person. 19 Although acupuncture is generally considered a safe procedure, a 2013 review stated that the reports of infection transmission increased significantly in the prior decade, including those of mycobacterium. 19 Although it is recommended that practitioners of acupuncture use disposable needles, the reuse of sterilized needles is still permitted. 19 It is also recommended that thorough control practices for preventing infection be implemented and adapted. 19 The Xingnao Kaiqiao approach appears to be a safe form of treatment. 147 Fainting was the most frequent adverse event. 147 Fainting while being treated, haematoma, and pain while being treated are associated with individual physical differences and with needle manipulation. 147 A 2013 systematic review of the English-language case reports found that serious adverse events associated with acupuncture are rare, but that acupuncture is not without risk. 17 Between 2000 and 2011 the English-language literature from 25 countries and regions reported 294 adverse events. 17 The majority of the reported adverse events were relatively minor, and the incidences were low. 17 For example, a prospective survey of 34,000 acupuncture treatments found no serious adverse events and 43 minor ones, a rate of 1.3 per 1000 interventions. 17 Another survey found there were 7.1% minor adverse events, of which 5 were serious, amid 97,733 acupuncture patients. 17 The most common adverse effect observed was infection e.g. mycobacterium, and the majority of infections were bacterial in nature, caused by skin contact at the needling site. 17 Infection has also resulted from skin contact with unsterilised equipment or with dirty towels in an unhygienic clinical setting. 17 Other adverse complications included five reported cases of spinal cord injuries e.g. migrating broken needles or needling too deeply, four brain injuries, four peripheral nerve injuries, five heart injuries, seven other organ and tissue injuries, bilateral hand enema, epithelioid granuloma, pseudo lymphoma, argyria, pustules, pancytopenia, and scarring due to hot-needle technique. 17 Adverse reactions from acupuncture, which are unusual and uncommon in typical acupuncture practice, included syncope, galactorrhoea, bilateral nystagmus, pyoderma gangrenosum, hepatotoxicity, eruptive lichen planes, and spontaneous needle migration. 17 A 2013 systematic review found 31 cases of vascular injuries caused by acupuncture, three resulting in death. 230 Two died from pericardia tamponade and one was from an aortoduodenal fistula. 230 The same review found vascular injuries were rare, bleeding and pseudo aneurysm were most prevalent. 230 A 2011 systematic review without restriction in time or language, aiming to summarize all reported case of cardiac tamponade after acupuncture, found 26 cases resulting in 14 deaths, with little doubt about causality in most fatal instances. 231 The same review concluded cardiac tamponade was a serious, usually fatal, though theoretically avoidable complication following acupuncture, and urged training to minimize risk. 231 A 2012 review found a number of adverse events were reported after acupuncture in the UK's National Health Service NHS but most 95% were not severe, 43 though miscategorization and under-reporting may alter the total figures. 43 From January 2009 to December 2011, 468 safety incidents were recognized within the NHS organizations. 43 The adverse events recorded included retained needles 31%, dizziness 30%, loss of consciousness/unresponsive 19%, falls 4%, bruising or soreness at needle site 2%, pneumothorax 1% and other adverse side effects 12%. 43 Acupuncture practitioners should know, and be prepared to be responsible for, any substantial harm from treatments. 43 Some acupuncture proponents argue that the long history of acupuncture suggests it is safe. 43 However, there is an increasing literature on adverse events e.g. spinal-cord injury. 43 Acupuncture seems to be safe in people getting anticoagulants, assuming needles are used at the correct location and depth. 232 Studies are required to verify these findings. 232 The evidence suggests that acupuncture might be a safe option for people with allergic rhinitis. 118 Chinese, South Korean, and Japanese-language A 2010 systematic review of the Chinese-language literature found numerous acupuncture-related adverse events, including pneumothorax, fainting, sub arachnoid haemorrhage, and infection as the most frequent, and cardiovascular injuries, sub arachnoid haemorrhage, pneumothorax, and recurrent cerebral haemorrhage as the most serious, most of which were due to improper technique. 233 Between 1980 and 2009, the Chinese-language literature reported 479 adverse events. 233 Prospective surveys show that mild, transient acupuncture-associated adverse events ranged from 6.71% to 15%. 233 In a study with 190,924 patients, the prevalence of serious adverse events was roughly 0.024%. 233 Another study showed a rate of adverse events requiring specific treatment of 2.2%, 4,963 incidences among 229,230 patients. 233 Infections, mainly hepatitis, after acupuncture are reported often in English-language research, though are rarely reported in Chinese-language research, making it plausible that acupuncture-associated infections have been under-reported in China. 233 Infections were mostly caused by poor sterilization of acupuncture needles. 233 Other adverse events included spinal epidural haematoma in the cervical, thoracic and lumbar spine, chylothorax, injuries of abdominal organs and tissues, injuries in the neck region, injuries to the eyes, including orbital haemorrhage, traumatic cataract, injury of the oculomotor nerve and retinal puncture, haemorrhage to the cheeks and the hypo glottis, peripheral motor-nerve injuries and subsequent motor dysfunction, local allergic reactions to metal needles, stroke, and cerebral haemorrhage after acupuncture. 233 A causal link between acupuncture and the adverse events cardiac arrest, pyknolepsy, shock, fever, cough, thirst, aphonic, leg numbness, and sexual dysfunction remains uncertain. 233 The same review concluded that acupuncture can be considered inherently safe when practice by properly trained practitioners, but the review also stated there is a need to find effective strategies to minimize the health risks. 233 Between 1999 and 2010, the Republic of Korean-literature contained reports of 1104 adverse events. 234 Between the 1980s and 2002, the Japanese-language literature contained reports of 150 adverse events. 235 Although acupuncture has been practice for thousands of years in China, its use in paediatrics in the United States did not become common until the early 2000s. The World Health Organization lists 28 different conditions that are sometimes treated with acupuncture. Medical acupuncture attempts to integrate reflexological concepts, the trigger point model, and anatomical insights such as dermatome distribution into acupuncture practice, and emphasizes a more formulaic approach to acupuncture point location. 65 Cosmetic acupuncture is the use of acupuncture in an attempt to reduce wrinkles on the face. 66 Bee venom acupuncture is a treatment approach of injecting purified, diluted bee venom into acupoints. 67 A 2006 review of veterinary acupuncture found that there is insufficient evidence to “recommend or reject acupuncture for any condition in domestic animals”. 68 Rigorous evidence for complementary and alternative techniques is lacking in veterinary medicine but evidence has been growing. 69 It is difficult but not impossible to design rigorous research trials for acupuncture. 70 71 Due to acupuncture's invasive nature, one of the major challenges in efficacy research is in the design of an appropriate placebo control group . 72 73 For efficacy studies to determine whether acupuncture has specific effects, “sham” forms of acupuncture where the patient, practitioner, and analyst are blinded seem the most acceptable approach. 70 Sham acupuncture uses non-penetrating needles or needling at non-acupuncture points, 74 e.g. inserting needles on meridians not related to the specific condition being studied, or in places not associated with meridians. 75 The under-performance of acupuncture in such trials may indicate that therapeutic effects are due entirely to non-specific effects, or that the sham treatments are not inert, or that systematic protocols yield less than optimal treatment. 76 77 A 2014 Nature Reviews Cancer review article found that “contrary to the claimed mechanism of redirecting the flow of qi through meridians, researchers usually find that it generally does not matter where the needles are inserted, how often that is, no dose-response effect is observed, or even if needles are actually inserted. Food and Drug Administration FDA removed acupuncture needles from the category of “experimental medical devices.” In 553, several Korean and Chinese citizens were appointed to reorganize medical education in Japan and they incorporated acupuncture as part of that system. 30 :264 Japan later sent students back to China and established acupuncture as one of five divisions of the Chinese State Medical Administration System. 30 :264-265 Acupuncture began to spread to Europe in the second half of the 17th century. A woman receiving fire cupping in China.

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